The repositioning of migrated Tenckhoff continuous ambulatory peritoneal dialysis catheters under fluoroscopic control

We describe a non-invasive, simple technique which, under fluoroscopic cont rol, repositions migrated Tenckhoff CAPD catheters back into the pelvis. 18 patients, who had a total of 23 manipulations, were studied retrospectivel y over 2 1/2 years. Technical success (successful repositioning of the cath eter at screening) and clinical success (continued effective CAPD for at le ast 6 months thereafter) were obtained in 84% and 45% of patients respectiv ely. The results showed this technique to be effective in restoring the cor rect catheter position in CAPD patients whose catheters have migrated. Clin ical success was more likely to be achieved in patients who had fewer risk factors for the development of peritoneal adhesions. The use of custom-made stainless steel wires eased manipulations and significantly reduced the ra diation dose to patient and operator from the procedure.